NYC 9/11 Public Portal Document
THE CITY OF NEW YORK
OFFICE OF COMPTROLLER PAYROLL REPORT
BUREAU OF LABOR LAW AGENCY:
(TO BE SUBMITTED WITH REQUISITION FOR PAYMENT)
DEPARTMENT OF DESIGN AND CONSTRUCTION
NAME F ONTRA TOR/SUBC
TRI~ ASBE TOS REMOVALCCbR D ES PHONE No. -
s129TH STREET PAYROLL No. 2
COLLEGE POINT NY 11356
CONTRACT REG No. JOB CODE WEEK ENDING - DATE PROJECT
NAME AND LOCATION
20766 TAX.- L D_. Nn_
07/21/02 125 CEDAR ST. PII
1) LIST TRADE & 3) 4) DAY AND DATE 5) 61 7) SUPPLEMENTAL BENEFITS 11) 121 13)
EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SAil SUN TOTAL 9) 10
RATE 8)
ADDRESS, CLASSIF: I IOTA
SOCIAL SECURITY NO. JOURNEYPERSON M 715 716 717 718 719 720 721 HOURS PAY TOTAL RATE (LocOi I TOTAL GROSS TAX AND
APPRENTICE E PER BASE PER if Union PAID OTHER NET
HELPER PAY HOUR is chock) PAY DEDUCTION
QY HOUR PAY
M_ARIN,,,_.DIEG..._._._._._._._.. JOURNEYMAN T 8.0 8.0 23.00 UE O
PII AB-12A HAND p 34.50 184.00
U
12
184.00 157.36
T 6.20 49.6 26.64
MARDI.,.-DIEGO-.-.-.-.-.-.-..., JOURNEYMAN R LJEO
8.1 8.0 23.00
PII AB-12A HAND Tp 4.1 4.0 34.50 322.00
U
12
322.00 198.74
--- --- -- - T 6.20 74.4 123.26
MEDINA, DIEG0 ._._._._._._._.
TR 8,0 8.0 23.00 U E o
PII AB-12A HAND T
o U 184.00 157.36
34.50 184.00 12
6.20 49.6 26.64
r.. JOURNEYMAN RT 8.1 8.0 23.15 UE o
PII AB-HANDLERS p U 324.10 273.92
_._._._._._._._._._._._._._._._._._._._._._._._._ 324.10 78
T
6.05 72.6 50.18
R UEO
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harks, ,._r.lf , ♦k -..k._ _I._.._ _.___ _.. _ _ FALSIFICATION OF STATEMENT IS A PUNI4HORI F nFRclucc F?062 E, .,
wages and supplemental benefits paid to all
above proje wring the p . I understand that the Agency relies upon .the, i formation persons employed by my firm for construction work upon the
undersign .
as being complete and accurate in making payments to the
SIGN
1 (
NAME (Print) TITLE '
TE
NYC-WTC 000108084
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